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Emergency visit, high (level 4) at Bayonne University Hospital. CPT 99284.

What Bayonne University Hospital publishes for this service, straight from its standard-charges file, last updated August 17, 2026.

Outpatient / ER

—cash price (self-pay)
$9,087list price
$77.06–$2,744range insurers pay
Insurance planNegotiated rate
Fidelis | All Plans$77.06
UnitedHealthcare | Community & State$140
Blue Cross Blue Shield of New Jersey (Horizon) | NJ Health$368
Wellpoint | Medicaid Managed Care$450
Clover | Medicare Advantage$471
Cigna | Medicare Advantage$496
Blue Cross Blue Shield of New Jersey (Horizon) | Medicare Advantage$496
UnitedHealthcare | Medicare Advantage$496
Longevity Health Plan of New Jersey | Medicare Advantage$496
Wellcare | Medicare Advantage$496
Humana | Medicare Advantage$511
New Jersey Carpenters Health Fund | Self Funded Medical Benefit Plan$850
Cigna | Commercial$994
Aetna | Commercial$1,348
Qualcare | PPO/HMO/WC$1,363
MagnaCare | PPO/Direct Plus/Exchange/WC$1,397
EmblemHealth | Commercial$1,487
Aetna | Medicare Advantage$1,606
Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity$1,789
Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care$1,789
Blue Cross Blue Shield of New Jersey (Horizon) | PPO$1,789
Oxford | Commercial$2,186
UnitedHealthcare | Commercial$2,744

Inpatient

—cash price (self-pay)
$9,087list price
$313–$2,192range insurers pay
Insurance planNegotiated rate
Qualcare | PPO/HMO/WC$1,363
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All common services at Bayonne University Hospital